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Tuberc Res Treat. 2014;2014:984218. doi: 10.1155/2014/984218. Epub 2014 Aug 19.

Nurses' Roles and Experiences with Enhancing Adherence to Tuberculosis Treatment among Patients in Burundi: A Qualitative Study.

Tuberculosis research and treatment

Marie Carlsson, Stina Johansson, Remy-Paul Bosela Eale, Berthollet Bwira Kaboru

Affiliations

  1. School of Health and Medical Sciences, Örebro University, 701 82 Örebro, Sweden.
  2. International Leadership University in Burundi, P.O. Box 2330, Bujumbura, Burundi.

PMID: 25215232 PMCID: PMC4152946 DOI: 10.1155/2014/984218

Abstract

Background. In TB control, poor treatment adherence is a major cause of relapse and drug resistance. Nurses have a critical role in supporting patients in TB treatment process. Yet, very little research has been done to inform policymakers and practitioners on nurses' experiences of treatment adherence among patients with TB. Aim. To describe nurses' experiences of supporting treatment adherence among patients with tuberculosis in Burundi. Method. The study adopted qualitative approach with a descriptive design. A purposive sampling was performed. Eight nurses were selected from two TB treatment centers in Burundi. Content analysis was used to analyze the data. Result. According to the nurses, most patients complete their treatment. Educating patients, providing the medication, observing and following up treatment, and communicating with the patients were the key tasks by nurses to support adherence. Causes for interruption were medication-related difficulties, poverty, and patients' indiscipline. Treatment adherence could also be affected by patients' and nurses' feelings. Providing transportation and meals could enhance treatment compliance. Conclusion. Nurses are critical resources to TB treatment success. In a poverty stricken setting, nurses' work could be facilitated and adherence further could be enhanced if socioeconomic problems (transportation and nutritional support) were alleviated.

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